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Numbness and tingling on limbs are common complaints in a lot of persons. There are a lot of causes which can cause such symptoms like-

- First thing that may cause tingling and numbness is Vitamin Deficiency especially Vitamin B12 and Folate deficiency. But you are having numbness in one extremity only so chances of nutritional deficiency are less. Still to be on safer side I would advise you to go for investigations like Hemoglobin levels, Vitamin B12 (300-900 normal) and folate levels. As if Vitamin B12 levels comes in <300 then most likely the numbness is due to vitamin deficiency.

- Second we can think is possibility for one sided numbness and tingling is some nerve entrapment. Sciatic nerve is one nerve which get compressed also called as Sciatica, cause numbness and tingling sensation in one limb, pain is also present. Backache is there with tingling of limbs in later stages. The symptoms increases when patient walks, and with rest symptom relief occurs. Treatment of Sciatica is usually Pain killers as NSAID, Cox2 Inhibitors, exercises, and vitamin supplements. Pregabalin is also effective, but take medicines only after opinion of Orthopedic doctor only.

- As your Blood Pressure and Sugar levels are in normal range so it is very less likely to assume sugar or BP as cause of your tingling.

One thing I want to know from you is that, do you smoke? If yes then in what amount and since how many years?

Chronic smoking may cause such symptoms of numbness and tingling in limbs especially during walking, also called as Buerger's disease.

And one more possibility is symptoms are of Psychogenic origin, some times due to unconscious stresses, tension along with nutritional deficiency these non-specific symptoms start developing in individuals, mild depression may present with such somatic symptoms. So if every thing come normal after investigations visit a Psychiatrist for proper evaluation

Hope I cleared your doubt, I will be pleased to answer follow-up question

Thanks
Take Care

Dr. SEIKHOO BISHNOI

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Hello,

Its my pleasure to answer you.

Smoking history of 9-10 years with average 4-5 cigarettes per day is a risk factor for Buerger's disease. It is a disease mainly seen in males and is characterized by obliteration of small blood vessels of limbs, tingling, paresthesia, numbness on walking in foot and leg area. Pain may be a presenting feature. But still in my opinion the possibility of this disease is low, as you are not having pain. Try to cut down the habit of smoking. You can decrease then number of cigarettes at least.

Secondly, as you are taking Neurokind plus for some days, there is no use of getting Vitamin B12 levels immediately. Continue the medicine as advised and wait for improvement for at least 4 weeks. Get your Hemoglobin levels done for now, along with PS (Peripheral Smear Examination) examination as it will give indirect idea of Vitamin B12 deficiency. If enlarged Red Blood Cells are seen on PS, then most likely you are having Vitamin B12 deficiency and this is causing symptoms. You do not have to visit th specialist immediately. You can wait and watch.


Hope I cleared your doubt.
Take Care, and wish you a good health.

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